108 Medicare Terms Defined

Medicare Glossary

Plain-English definitions for every Medicare term — from ABN to ZIP enrollment. No jargon, no confusion.

Showing 3 results for "CMS"clear search

C

CMS (Centers for Medicare & Medicaid Services)

Medicare Basics

The federal agency within the U.S. Department of Health and Human Services that administers Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). CMS sets Medicare rules, approves plans, and regulates coverage standards.

Also known as: CMS

Q

Quality Bonus Payment

Part C / Advantage

Extra payments that Medicare makes to Medicare Advantage plans that receive 4 or 5 stars in CMS's Star Ratings system. Plans that earn bonus payments can use the funds to offer richer benefits or lower premiums.

S

Star Ratings

Part C / Advantage

A 1–5 star quality rating system that CMS uses to measure how well Medicare Advantage and Part D plans perform. Ratings are based on measures including member experience, customer service, and managing chronic conditions. Higher-rated plans may receive bonus payments.

Also known as: CMS Star Ratings, Quality ratings

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